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British Journal of Ophthalmology
Article . 1950 . Peer-reviewed
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Sterile Anterior-Chamber Irrigation

Authors: L G, SCOULAR;

Sterile Anterior-Chamber Irrigation

Abstract

Asageneral rulenormalsaline isemployed whichhasbeenmade upbythehospital dispenser andstored inglass-stoppered hottles. Asthese arenotsterile ontheoutside. theusual procedure isfora nursewhohasnotscrubbed up,topourthesaline intoasterilized undineorcontainer. Indoingthisthereisa.verygoodchance thatshewill contaminate theneckofthebottle withherfingers and soinfect thesolution. Ifitisnotinfected inthiswaythereis everypossibility thatitwill becomesothrough exposure totheair. Thefollo-ing isa simple methodwhichispractically foolproof. Theillustration showsa 4-oz."Americanround" bottle withi a metalscrewcal). Inthetopofthecapthereisa hole9 mm. in diameter whichiscovered bya rubber disk.Thisbottle istw-othirds filled withnormal saline andcanbesterilized inanautoclave or placed ina sterilizer alongwitlh theinstruments before the operation. Whenithesurgeon isreadytoirrigate theanterior chambertwosterile needles arepassed through therubber disk. Oneofthese isalongfine needle wviich should bemorethanhalf thelength ofthecontainer. The secondisa shortwide-bored needleconnected toa length ofrubber tubing ontheotherend ofwhichistheanterior-chamber irrigation nozzle. When the bottle isinvJerted, airpasses inthrough thelongneedle andthe saline runsoutthrough theshortneedle anidalong thetube.Itis necessary tomakesurethattheshortneedle hasasuifficiently wide bore.Ifitistoonarrowtheflowisnotadequiate. Anotheradvantage ofthismethodisthat, ifitisnecessary to irrigate asecondtime, thesaline starts torunimmediately without beingpreceded bynuimerous airbubbles as invariably happens whenusinganundine.

Keywords

Anterior Chamber, Humans, Cataract Extraction, Eye

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
bronze